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ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
AN INTRODUCTION TO ASQ-3™ & ASQ:SE
Ages & Stages Questionnaires®, Third Edition (ASQ-3™) A Parent-Completed Child Monitoring System
and Ages & Stages Questionnaires®: Social-Emotional (ASQ:SE)
A Parent-Completed Child Monitoring System for Social-Emotional Behaviors
ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
What’s in the Folder?
• ASQ 3 & ASQ-SE Screening Procedure • ASQ 3 Quick Start Guide • ASQ 3 Activities • Quick Glance Age Administration Chart • ASQ/SE: Ages 36 and 48 months • ASQ 3: Ages 36 and 48 months • Enrollment Observation Form • New Green Summary Form
ASQ-3 and ASQ:SE Domains ASQ-3 • Communication
• Gross motor
• Fine motor
• Problem solving
• Personal-social
ASQ:SE (instead of TABS) • Social-emotional development
ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
Features: ASQ-3 Intervals
21 Questionnaire intervals (but we will use):
30, 33, 36 (spaced 3 months apart)
42, 48, 54, 60 (spaced 6 months apart)
*Intervals new to ASQ-3
ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
Features: ASQ-3 Areas & Questions
5 developmental areas
6 questions in each area
Response options: Yes, Sometimes, Not Yet
Written at 4th to 6th grade level
ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
Features: ASQ-3 Overall Section
• Un-Scored Section • Looks at quality of skills (e.g., speech)
- Example: "Does your child use both hands equally well?" - "NO" response indicates possible cerebral palsy; important to follow up
• Parent concerns are very predictive • Any concerns or questionable responses
require follow-up
Administration: Scoring Exercise
ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
Prescreening Checklist
• Explain purpose of screening and review questionnaire content
• Schedule screening
• Select correct ASQ-3 interval
• Assemble materials (if necessary)
ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
ASQ-3 Cover Page Date ASQ-3 Completed:
Child’s Name:
Child’s Date of Birth:
Person filling out questionnaire:
Let’s figure what questionnaire we would use for a child whose DOB is 5/25/09 with the
date of administration as 9/30/13
ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
ASQ-3 –How to figure out age
•How to calculate age into months: 12 months x age= age in months i.e 12 months x 3 years old=36 months
•Quick glance yellow card in your folder-Review how to use •Age calculator link on the SOCFC website
ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
Screening Exercise: Video
• ASQ on a Home Visit
• Use your 36 month ASQ sheet to score
• We will review after video is over and how well do you think the child did on the questionnaire.
• Discussion
ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
Scoring the ASQ-3
Step 1: Review responses. If any missing items, try to obtain answers. If item is inappropriate, omit item
Step 2: Calculate area totals: "yes"= 10; "sometimes"= 5; "not yet"= 0
Step 3: If any items omitted, calculate new area total (manual has instructions)
ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
Step 4: Review overall section responses. Ask for further clarification and make notes if needed Step 5: Transfer information to ASQ-3 Summary Page
ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
ASQ-3 Information Summary Sheet (Sections 1 & 2)
Scoring the ASQ-3-Green Summary Form
Scoring the ASQ-3-Green Summary Form
ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
Consider the following to determine appropriate follow-up
• Total ASQ-3 Area Scores • Overall Responses (Parent Concerns) • Additional Considerations
• What other factors may have impacted the child’s screening results?
ASQ-3 Score Interpretation and Recommendation for Follow-Up
ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
Below cutoff in one or more areas • Score is 2 standard deviations or more
below average • Refer for further assessment • Rescreen
Parent Concern • Respond to all concerns • Refer if necessary
ASQ-3 Score Interpretation and Recommendation for Follow-Up
ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
Below cutoff in one or more areas • Refer for further assessment • Rescreen if any numbers in gray-typically
the rescreen will happen in a month from the original screen and will occur at the center instead of the home.
Parent Concern • Respond to all concerns • Refer if necessary
ASQ-3 Rescreens-Refer
ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
Features of ASQ:SE • 6-, 12-, 18-, 24-, 30-, 36-, 48-, and 60-month
intervals
• Between 19 (6 month) and 33 (60 month) scored questions on each questionnaire
• 3–6 month administration window on either side of interval age
ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
Features of ASQ:SE • Questionnaires are written at a 4th- to 6th-grade
reading level • Each questionnaire includes open-ended questions
related to eating, sleeping, and toileting • All intervals include the question, "Is there anything
that worries you about your baby (child)? If so, please explain."
• Each interval also includes the question, "What things do you enjoy most about your baby (child)?"
ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
Features of ASQ:SE • Competence and problem behaviors targeted • Externalizing and internalizing behaviors targeted
• Scoring Options Points
Most of the time 0 or 10 Sometimes 5 Rarely or Never 10 or 0 Is this a concern? Yes = 5
• High scores falling above empirically-derived cutoff points are indicative of problems
ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
Scoring ASQ:SE • Determine child’s Total score
# of questions with X ___ x 10 = ____ # of questions with V ___ x 5 = ____ # Concerns ___ x 5 = ____ Total Points on each page = ____
• Transfer points on each page to ASQ:SE Information Summary Sheet
ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
Interpreting Scores • The "Sometimes" Issue • The Subjectivity Issue • Validity of Report
• Teen parents • Parents involved with child protective
services • First time parents/isolated parents • Parents actively involved with drugs and
alcohol • Parents with mental illness
ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
Questionable Scores?
• Gather additional information • Observe child • Use a professionally administered
screening tool • Assess parent-child interactions • Assess the caregiving environment
ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
Possible Follow-up
Below Cutoff • Provide ASQ:SE activities and monitor • Follow-up on any parent overall concerns
Close to Cutoff • Follow up on concerns • Provide information, education, and support • Re-administer ASQ:SE • Make referrals as appropriate
ASQ-3™ and ASQ:SE Training Materials by Jane Squires, Jane Farrell, Jantina Clifford, Suzanne Yockelson, Elizabeth Twombly, and LaWanda Potter Copyright © 2012 by Paul H. Brookes Publishing Co., Inc. All rights reserved. www.agesandstages.com
Don’t Forget!
• Both ASQ 3 and ASQ-SE need to be completed on the First Home Visit.
• Turn in the ASQ 3 and ASQ-SE as well as the Green Summary sheet to the Disabilities and Mental Health Supervisor for review and data input.
• ASQ 3/ASQ SE calculator on SOCFC website
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